Document Detail


Prevention and treatment of medical and neurological complications in patients with aneurysmal subarachnoid haemorrhage.
MedLine Citation:
PMID:  19608769     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Treatment of patients with aneurysmal subarachnoid haemorrhage not only involves securing the aneurysm by endovascular coiling or surgical clipping but also prevention and treatment of the medical and neurological complications of the bleed. These acutely ill patients should be looked after in specialised centres by a multidisciplinary team that is available 24 h a day, 7 days a week. No medical intervention is known to improve outcome by reducing the risk of rebleeding but oral nimodipine should be standard care to prevent delayed cerebral ischaemia. For patients who develop delayed ischaemia, there is no evidence that hypervolaemia, haemodilution, hypertension, balloon angioplasty or intra-arterial vasodilating agents improve outcome. Lumbar puncture is a safe and reasonably effective way of treating those forms of acute hydrocephalus that are not caused by intraventricular obstruction.
Authors:
Gabriel J E Rinkel; Catharine J M Klijn
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Practical neurology     Volume:  9     ISSN:  1474-7766     ISO Abbreviation:  Pract Neurol     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-17     Completed Date:  2009-10-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101130961     Medline TA:  Pract Neurol     Country:  England    
Other Details:
Languages:  eng     Pagination:  195-209     Citation Subset:  IM    
Affiliation:
Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, The Netherlands. g.j.e.rinkel@umcutrecht.nl
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MeSH Terms
Descriptor/Qualifier:
Brain Ischemia / physiopathology,  prevention & control,  therapy
Calcium Channel Blockers / therapeutic use
Critical Care / methods*,  standards*
Fever / physiopathology,  prevention & control,  therapy
Humans
Hydrocephalus / physiopathology,  prevention & control,  therapy
Intensive Care Units / standards
Recurrence / prevention & control
Subarachnoid Hemorrhage / complications*,  mortality,  therapy*
Chemical
Reg. No./Substance:
0/Calcium Channel Blockers

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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